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Sexual abuse occurs when an adult uses a child for sexual purposes or involves a child in sexual acts. It also includes when a child who is older or more powerful uses another child for sexual gratification or excitement.

20.7% of adults report being sexually abused as a child.

Sexual abuse of children includes non-contact abuse, making a child view a sex act, making a child view or show sex organs, inappropriate sexual talk, contact abuse, fondling and oral sex, penetration, making children perform a sex act, exploitation, child prostitution and child pornography.

  • Parent fails to supervise child
  • Unstable adult presence
  • Jealous/possessive parent
  • Sexual relationships troubled or dysfunctional
  • Parent relies on child for emotional support

Physical:

  • Difficulty sitting, walking, bowel problems
  • Torn, stained, bloody undergarments
  • Bleeding, bruises, pain, swelling, itching of genital area
  • Frequent urinary tract infections or yeast infections
  • Any sexually transmitted disease or related symptoms

Behavioral:

  • Doesn’t want to change clothes (e.g., for P.E.)
  • Withdrawn, depressed, anxious
  • Eating disorders, preoccupation with body
  • Aggression, delinquency, poor peer relationships
  • Poor self-image, poor self-care, lack of confidence
  • Sudden absenteeism, decline in school performance
  • Substance abuse, running away, recklessness, suicide attempts
  • Sleep disturbance, fear of bedtime, nightmares, bed wetting (at advanced age)
  • Sexual acting out, excessive masturbation
  • Unusual or repetitive soothing behaviors (hand-washing, pacing, rocking, etc.)
  • Sexual behavior or knowledge that is advanced or unusual
  • Reports sexual abuse